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Blood, 15 October 2004, Vol. 104, No. 8, pp. 2418-2424. Prepublished online as a Blood First Edition Paper on June 17, 2004; DOI 10.1182/blood-2004-04-1294.
IMMUNOBIOLOGY Activated human NK and CD8+ T cells express both TNF-related apoptosis-inducing ligand (TRAIL) and TRAIL receptors but are resistant to TRAIL-mediated cytotoxicityFrom the Department of Anatomy, Pharmacology, and Forensic Medicine, Human Anatomy Section, University of Parma, Italy; the Department of Anatomical Sciences, Cellular Signalling Laboratory, University of Bologna, Italy; the Department of Normal Human Morphology, University of Trieste, Italy; the Department of Morphology and Embriology, Human Anatomy Section, University of Ferrara, Italy; and the Istituto per i Trapianti d'organo e Immunocitologia-Consiglio Nazionale delle Ricerche, Bologna Unit, Research Institute "Codivilla-Putti," Istituti Ortopedici Rizzoli, Bologna, Italy.
The expression of tumor necrosis factor (TNF)related apoptosis-inducing ligand (TRAIL) and TRAIL receptors was investigated in resting and cytokine-activated purified primary human natural killer (NK) and CD8+ T cells. Resting NK and CD8+ T cells expressed the mRNA for all TRAIL receptors, but TRAIL-R4 was the only receptor clearly detectable on the surface of both cell types. NK cells were activated by interleukin 2 (IL-2) or IL-15, whereas CD8+ T cells were activated by phytohemagglutinin (PHA) + IL-2 followed by IL-2 alone for up to 10 days. On activation, both cell types rapidly expressed TRAIL-R2 and TRAIL-R3, whose expression peaked at day 10 of culture. TRAIL-R1, however, was never expressed at any time point examined, whereas the expression of TRAIL-R4, which showed a progressive increase in CD8+ T cells, remained constant in NK cells. Notwithstanding the expression of TRAIL-R2, recombinant TRAIL did not show any cytotoxic activity on either NK or CD8+ T cells. Both resting and activated NK and CD8+ T cells were found to express high levels of the 2 isoforms of c-FLIP (cellular Fas-associated death domain protein [FADD]like IL-1converting enzyme [FLICE]inhibitory protein). Small interference RNA-mediated inhibition of c-FLIP expression in NK cells abrogated their resistance to the apoptotic effect of soluble TRAIL. Thus, once activated the major cytotoxic effector cells are potentially sensitive to TRAIL but are physiologically protected from its apoptotic action by intracellular level of c-FLIP.
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